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      <GeneralExplanation>
        <Identifier>01. Form 990 governing body review (Part VI, line 11)</Identifier>
        <Explanation>PRIOR TO FILING FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE THEN THE BOARD OF DIRECTORS BOTH THE FINANCE SUBCOMMITTEE AND THE BOARD OF DIRECTORS REVIEW THE FINANCIAL STATEMENTS ON A QUARTERLY BASIS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>02. Conflict of interest policy compliance (Part VI, line 12c)</Identifier>
        <Explanation>THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ITS COMPLIANCE DEPARTMENT THE COMPLIANCE DEPARTMENT CONSISTS OF FOUR STAFF MEMBERS THAT MONITORS AND ENFORCES THE CONFLICT OF INTEREST AND CODE OF CONDUCT POLICIES TO ENSURE THE POLICIES ARE PROPERLY UNDERSTOOD AND FOLLOWED THE COMPLIANCE DEPARTMENT CONDUCTS TRAINING COURSES FOR ALL EMPLOYEES AS PART OF THE AUDITED FINANCIAL STATEMENTS THE INTERNAL CONTROLS ARE REVIEWED UNDER THE GUILDLINES OF SARBANES-OXLEY ACT OF 2002</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>03. CEO, executive director, top management comp (Part VI, line 15a)</Identifier>
        <Explanation>AN OUTSIDE CONSULTING FIRM WELL KNOWN FOR ITS WORK IN DEVLOPING EXECUTIVE COMPENSATION PRACTICE WAS HIRED BY THE ORGANIZATION TO CREATE A REASONABLE COMPENSATION PACKAGE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>04. Other officer or key employee compensation (Part VI, line 15b</Identifier>
        <Explanation>OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY AND ARE ADJUSTED EITHER BY MARKET VALUE OF SURVEY OF POSITIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>05. Governing documents, etc, available to public (Part VI, line 19)</Identifier>
        <Explanation>The 990 and other documents can be viewed on the Attorney Gennerals website for Massachuetts as well on on other sites for free</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>06. Explanation of other changes in net assets or fund balances (Part XI, line 5)</Identifier>
        <Explanation>Transfer of prior net asset value eliminated from related companies and transferred to CCA 1905735 AND 92591 IN UNREALIZED NET LOSS OF 92581 or a net total of 1813144</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>07. Average hours per week devoted to related organizations (Part VII, Col B)</Identifier>
        <Explanation>Robert J Master MD is the CEO of Commonwealth Care Alliance Inc and works an average of 40 hours per week for this Company He also works an average of five hours per week as a staff physician for another related organization Robert Fallon as the CFO of Commonwealth Care Alliance Inc spends an average of 40 hours for this Company and 15 hours per week on two related organizations</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>08. General explanation attachment</Identifier>
        <Explanation>THE ORGANIZATION USES VARIOUS MEANS OF SENDING NOTICES AND OTHER REQUIRED DOCUMENTATION TO THE BOARD OFFICERS AND KEY EMPLOYEES WHETHER THE ADDRESS IS AT THE ORGANIZATION ADDRESS HOME ADDRESS E-MAIL ADDRESS BY WHAT EVER MEANS WILL GET THE REQUIRED INFORMATION OUT ON A TIMELY MATTER</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfDisregardedEntity>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMONWEALTH CLINICAL ALLIANCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>30 WINTER STREET BOSTON MA</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02108</ZIPCode>
        </AddressUS>
        <EIN>562382058</EIN>
        <PrimaryActivities>MEDICAL SERVICE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BOSTONS COMMUNITY MED GRP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 BOSTON MED CTR PL 1508</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02118</ZIPCode>
        </AddressUS>
        <EIN>260100022</EIN>
        <PrimaryActivities>MEDICAL SERVICES</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 C 3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMONWEALTH CLINICAL ALLIANCE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>1200000</AmountInvolved>
        <MethodOfAmtDetermination>cash transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>